Child has pain in ear, paracetamol not working. What can be the reason?

hi, my three and half year old daughter is havin pain on the top of left ear in head.it comes and goes and lasts for few seconds.sometimes it comes after few hours and sometimes it comes 4 to 6 times in an hour.pain is so much that she starts crying.i went to the gp but he gave paracetamole but its not working.she is still having that pain.i m so tense.what can b the reason?plz help

For significan ear pain you can give ibuprofen containing syrup like Advil or Motrin in the prescribed dosage and it can be given after food every 8 th hourly depending on the presence of pain with crying.

And child needs ear examination by otoscope to look for any infection of the middle ear.

Ear infections require antibiotic treatment in addition to ibuprofen for pain relief as the control of infection is important.

If there is pus inside the middle ear as seen with acute otitis media, it has to be released by giving a surgical incision.